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GNAW OF CUSTODY RECORD rl <br /> Geological Audit Services, Inc. <br /> Date Z-16^-?Z page � of 2 i <br /> PROJET MANAGER <br /> Giant 2drG e, <br /> PHONE NUMBER <br /> 2,D I - ?S6_ a 2,6 1 <br /> PROJECT NAME 57LEAS , ,cnature) <br /> rSAMs't,vns <br /> SAMPLE LOCATION DATE TIME WATEP `AIR SOLID NO OF TESTS <br /> NUMBER DESCRIPTION Comb Grail CNTNRS REW,RED <br /> cvlM.7F oar, � � <br /> -o� All 5 . C Cr /' Z. ,t1i" <br /> 1 d <br /> I <br /> I <br /> Ret pushed y (Signature! Recerved by (Signature) OatelTlme <br /> -_ 7/9011 <br /> Retrnputshed by (Signature) Receiver by ISignature} � DaterTrrste �� <br /> t <br /> AelrrlpuiSheC by (Signature) Received by Mobile Laboratory os fleid anacys,s I DatelTfine f <br /> ISlgndturet <br /> Dispatched by(Signature) DatelTtme �Rece,ved to,Laboratory by Dater'Tirle <br /> Method of Shipment !nereDy aurnorize the performance of the above indicated work <br /> Special In%ttucttions <br /> r� <br /> SOURCE Al m US EPA 1985 CCA ttSO <br /> , <br /> � r <br />